Initial mechanical ventilation settings (peds) - Revision history

Ostermayer at 18:00, 17 January 2026

2026-01-17T18:00:34Z

← Older revision		Revision as of 18:00, 17 January 2026
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	{{~~Peds top}} [[~~initial mechanical ventilation settings~~]].''~~		{{PediatricPage\|initial mechanical ventilation settings}}
	==Background==		==Background==
	*In the neonate, volume-targeted ventilation mode has been shown to have improved outcomes over pressure-limited ventilation<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.</ref>		*In the neonate, volume-targeted ventilation mode has been shown to have improved outcomes over pressure-limited ventilation<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.</ref>

Rossdonaldson1: /* Background */

2020-07-02T21:55:31Z

Background

← Older revision		Revision as of 21:55, 2 July 2020
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	{{Peds top}} [[initial mechanical ventilation settings]].''		{{Peds top}} [[initial mechanical ventilation settings]].''
	==Background==		==Background==
	*~~Volume~~-targeted ventilation mode ~~as compared~~ to pressure-limited ventilation ~~in the neonate, has improved outcomes~~<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.</ref>		*In the neonate, volume-targeted ventilation mode has been shown to have improved outcomes over pressure-limited ventilation<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.</ref>
	**Must use cuffed tube for volume-targeted ventilation		**Must use cuffed tube for volume-targeted ventilation

Rossdonaldson1: /* Background */

2020-07-02T21:54:44Z

Background

← Older revision		Revision as of 21:54, 2 July 2020
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	{{Peds top}} [[initial mechanical ventilation settings]].''		{{Peds top}} [[initial mechanical ventilation settings]].''
	==Background==		==Background==
	*Volume-targeted ventilation mode as compared to pressure-limited ventilation in the neonate, has improved outcomes<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.>/ref>		*Volume-targeted ventilation mode as compared to pressure-limited ventilation in the neonate, has improved outcomes<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.</ref>
	**Must use cuffed tube for volume-targeted ventilation		**Must use cuffed tube for volume-targeted ventilation

Rossdonaldson1: /* Background */

2020-07-02T21:54:32Z

Background

← Older revision		Revision as of 21:54, 2 July 2020
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	{{Peds top}} [[initial mechanical ventilation settings]].''		{{Peds top}} [[initial mechanical ventilation settings]].''
	==Background==		==Background==
			*Volume-targeted ventilation mode as compared to pressure-limited ventilation in the neonate, has improved outcomes<ref>Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. Cochrane Database Syst Rev 2010;11:CD003666.>/ref>
			**Must use cuffed tube for volume-targeted ventilation

	{{Peds Resp Rates}}		{{Peds Resp Rates}}

Rossdonaldson1: /* Lung Protective Strategy */

2020-07-02T21:19:31Z

Lung Protective Strategy

← Older revision		Revision as of 21:19, 2 July 2020
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	*Indicated for all intubated patients who do not have obstructive lung disease ([[COPD]], [[asthma]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>		*Indicated for all intubated patients who do not have obstructive lung disease ([[COPD]], [[asthma]])<ref>Weingart SD. Managing Initial Mechanical Ventilation in the Emergency Department. Ann Emerg Med. 2016;68:614-617</ref>

	{{Lung Protective Ventilator Settings}}		{{Lung Protective Ventilator Settings Peds}}
	{{Lung Protective FiO2 and PEEP Scale}}		{{Lung Protective FiO2 and PEEP Scale}}

Rossdonaldson1: /* Overview */

2020-07-02T21:17:45Z

Overview

← Older revision		Revision as of 21:17, 2 July 2020
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	{{Peds top}} [[initial mechanical ventilation settings]].''		{{Peds top}} [[initial mechanical ventilation settings]].''
	==~~Overview~~==		==Background==
	{{Peds Resp Rates}}		{{Peds Resp Rates}}

Rossdonaldson1: /* Non-Pulmonary Problem(e.g. trauma) */

2020-07-02T20:20:43Z

Non-Pulmonary Problem(e.g. trauma)

← Older revision		Revision as of 20:20, 2 July 2020
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	{{Peds Resp Rates}}		{{Peds Resp Rates}}

	==Non-Pulmonary Problem(e.g. trauma)==		==Non-Pulmonary Problem (e.g. trauma)==
	''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''		''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''
	*FiO2: 100% (1.0) and ween down		*FiO2: 100% (1.0) and ween down

Rossdonaldson1 at 19:31, 2 July 2020

2020-07-02T19:31:31Z

← Older revision		Revision as of 19:31, 2 July 2020
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	{{Peds Resp Rates}}		{{Peds Resp Rates}}

	==Non-Pulmonary ~~Indication~~ (e.g. trauma)==		==Non-Pulmonary Problem(e.g. trauma)==
	''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''		''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''
	*FiO2: 100% (1.0) and ween down		*FiO2: 100% (1.0) and ween down

Rossdonaldson1: /* Non-Pulmonary Indication (e.g. trauma) */

2020-07-02T18:38:24Z

Non-Pulmonary Indication (e.g. trauma)

← Older revision		Revision as of 18:38, 2 July 2020
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	''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''		''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''
	*FiO2: 100% (1.0) and ween down		*FiO2: 100% (1.0) and ween down
	*Rate: See normal respiratory rates above		*Rate: See normal respiratory rates by age above
	*Mode: [[Ventilation_modes#Modes\|Volume assist control (AC)]]		*Mode: [[Ventilation_modes#Modes\|Volume assist control (AC)]]
	**A/C = default (most)		**A/C = default (most)

Rossdonaldson1: /* Non-Pulmonary Indication (e.g. trauma) */

2020-07-02T18:38:07Z

Non-Pulmonary Indication (e.g. trauma)

← Older revision		Revision as of 18:38, 2 July 2020
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	==Non-Pulmonary Indication (e.g. trauma)==		==Non-Pulmonary Indication (e.g. trauma)==
	''As a general rule, a traditional strategy ~~of a volume control mode~~ is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''		''As a general rule, a traditional strategy is appropriate for most patients (similar to adults)<ref>Kneyber et.al. Recommendations for mechanical ventilation of critically ill children from the Paediatric Mechanical Ventilation Consensus Conference (PEMVECC). Intensive Care Med. 2017 Dec;43(12):1764-178.</ref>''
	*FiO2: 100% (1.0) and ween down		*FiO2: 100% (1.0) and ween down
	*Rate: See normal respiratory rates above		*Rate: See normal respiratory rates above
	*[[~~Ventilation~~ (~~Main~~)~~\|Mode~~]]		*Mode: [[Ventilation_modes#Modes\|Volume assist control (AC)]]
	**A/C = default (most)		**A/C = default (most)
	*PEEP: 5 cmH20		*PEEP: 5 cmH20
	*Tidal volume: 8 cc/kg		*Tidal volume: 8 cc/kg
	**(adjust to plateau pressure <35 cmH20)		**(adjust to plateau pressure <35 cmH20)

	==Lung Protective Strategy==		==Lung Protective Strategy==